Healthcare Provider Details
I. General information
NPI: 1023952082
Provider Name (Legal Business Name): DENVER ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4400 E EVANS AVE STE 100
DENVER CO
80222-5175
US
IV. Provider business mailing address
4400 E EVANS AVE STE 100
DENVER CO
80222-5175
US
V. Phone/Fax
- Phone: 720-300-3085
- Fax:
- Phone: 720-300-3085
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMI
O
ADLAN
Title or Position: OWNER
Credential:
Phone: 720-300-3085